go back

Vermont rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $141.25 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $20.42 / $28.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $48.98